What is it and how is it done?
This technique allows reducing or eliminating deformities caused by fatty deposits in the trunk: abdomen and flanks, such as limbs: arms, buttocks, trochanters (“hips”), thighs, knees and ankles, even face or neck, which are resistant or refractory to physical exercise and diet The motivations can be to obtain a more youthful body contour, correct asymmetries sometimes evident, treat deformities secondary to trauma or degenerative diseases of fatty tissue; also as a secondary procedure to repair surgery. Increasingly it is associated with other surgical techniques such as certain breast reductions, abdominoplasty , or rejuvenation by tensioning of thighs and face. It is also the starting point for simultaneous filling with fatty grafts. In the male, the areas of most frequent correction are abdominal contour, flanks, neck and the elimination of the apparent breast development ( lipomastia ).
It should be considered that liposuction is performed by anyone who removes fatty tissue, however liposculpture creating three-dimensional shapes, due to its complexity it is relegated to the experienced plastic surgeon.
What are the requirements for this improvement?
Three-dimensional liposculpture can obtain a proportionate or harmonious appearance between the different body parts, by reducing volume and recreating shapes. Other different expectations are unreal and should be known in advance, as they move away from the concept of body sculpting. The right candidates maintain their weight through exercise and nutrition appropriate to their personal characteristics; there must also be a mature emotional development to understand that the previous body image improves significantly by combining science with artistic sensitivity, within reasonable limits.
Other candidates with predictable moderate skin surpluses may respond to an adequate sequence of three-dimensional liposculpture, combined with depurative guidelines and an active participation in a program of repeated gentle exercise, rethinking hygienic-dietary habits.
In cases of poor skin elasticity, techniques of tensioning or ” lifting ” and removal of excess skin are associated with both inner thighs, buttocks or flanks, even if necessary, of abdomininoplasty with fascia fasteners or muscle wraps.
The fatty excess between fibrous septa under the skin known as “cellulite” has its specific treatment by means of appropriate cannula release maneuvers, to allow a more adequate cutaneous readjustment.
Ways to perform three-dimensional liposculpture
Like any intervention, we always perform it in an operating room of an approved hospital. It is usually performed under sedation plus analgesia (very occasionally epidural anesthesia), on an outpatient basis without hospital stay. If we remove copious volumes of fatty tissue, treat large areas or associate various interventions, general anesthesia and hospital stay may be necessary. After a thorough design of the projections to be treated, the technique begins by infiltrating, through minimal incisions, a local anesthetic solution with vasoconstrictor, then the aspiration is initiated by cannulas ranging between 3 and 4 millimeters in diameter connected to different systems of emptiness. At the end of the procedure we apply an elastic compression garment adapted to the remodeled areas.